| NPI | 1255743258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35.135826) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036153838) |
| 208600000X Surgery (Licence: OH 35.135826) | |
| 208600000X Surgery (Licence: MI 4301104854) | |
| 208600000X Surgery (Licence: MI 5315064636) | |
| Enumeration Date | 2014-05-24 |
| Last Update Date | 2024-02-21 |